Complete and accurate documentation is one of the most essential skills for a physical therapist to develop and use effectively. Necessary for both new and experienced practitioners, Physical Therapy Documentation: From Examination to Outcome will teach and explain physical therapy documentation from A to Z. Physical Therapy Documentation covers all of the fundamentals for prospective physical therapists preparing to work in the clinic or clinicians looking to refine and update their skills. Dr. Mia Erickson along with Rebecca McKnight and Dr. Ralph Utzman discuss documentation issues while providing a framework for the actual documentation format. In addition, Physical Therapy Documentation draws comparisons between the familiar, traditional documentation formats and contemporary models to provide a foundation for clinicians and students to use when documenting in any practice setting. Practice exercises and case studies are provided throughout the text demonstrating note-writing across the continuum of care. This text will allow the student or clinician to produce quality documentation consistent with current standards of practice. The Guide to Physical Therapist Practice is referenced throughout the text as the model for patient/client management. What's Inside: • Disablement models • Reasons for documentation • Documentation formats • Documentation and patient-client management • Discussion of reimbursement issues • Discussion of legal issues • Practical tips for note writing Throughout Physical Therapy Documentation, The World Health Organization's International Classification of Functioning, Disability, and Health (ICF) language is used. The text is also correlated with the Nagi Model, which is well-known to most physical therapists, to help provide a bridge from the older model to the contemporary model. Physical Therapy Documentation provides physical therapy students, educators, and clinicians with a valuable reference tool for documentation within contemporary physical therapy practice.

Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. Necessary for both students and clinicians, Documentation Basics: A Guide for the Physical Therapist Assistant will teach and explain physical therapy documentation from A to Z. Documentation Basics: A Guide for the Physical Therapist Assistant covers all of the fundamentals for prospective physical therapist assistants preparing to work in the clinic or clinicians looking to refine and update their skills. Mia Erickson and Becky McKnight have also integrated throughout the text the APTA's Guide to PT Practice to provide up-to-date information on the topics integral for proper documentation. What's Inside: Overview of documentation Types of documentation Guidelines for documenting Overview of the PTA's role in patient/client management, from the patient's point of entry to discharge How to write progress notes How to use the PT's initial examinations, evaluations, and plan of care when writing progress notes Legal matters related to documentation Reimbursement basics and documentation requirements The text also contains a section titled "SOAP Notes Across the Curriculum," or SNAC. This section provides sample scenarios and practice opportunities for PTA students that can be used in a variety of courses throughout a PTA program. These include: Goniometry Range of motion exercises Wound care Stroke Spinal cord injury Amputation Enter the physical therapy profession confidently with Documentation Basics: A Guide for the Physical Therapist Assistant by your side.

-- Focuses on the needs of PTAs and emphasizes the role of the PTA within the PT team -- Covers major types of records (SOMR, POMR) -- Teaches how to make notes (SOAP, narrative, computerized, predesigned) -- Covers all documentation, including incident reports and phone conversations -- Discusses reimbursement and legal issues -- Includes sample reports and many practice exercises (with answers in the back of the book) -- Emphasizes that documentation is a record of the quality of care -- Uses the guidelines published by the APTA as a standard -- Includes chapter outlines, objectives, and review questions (with answers in the back of the book)

Documentation for Physical Therapist Practice: A Clinical Decision Making Approach provides the framework for successful documentation. It is synchronous with Medicare standards as well as the American Physical Therapy Association’s recommendations for defensible documentation. It identifies documentation basics which can be readily applied to a broad spectrum of documentation formats including paper-based and electronic systems. This key resource skillfully explains how to document the interpretation of examination findings so that the medical record accurately reflects the evidence. In addition, the results of consultation with legal experts who specialize in physical therapy claims denials will be shared to provide current, meaningful documentation instruction.

Written specifically for Physical Therapist Assistant (PTA) students, this text is an excellent introduction for physical therapist assistant s education. This new edition includes updated information regarding the relationship between the Physical Therapist (PT) and PTA and key concepts of the Guide to Physical Therapist Practice for better understanding of clinical guidelines. It also includes new information regarding clinical trends in physical therapy. Utilizing this text specifically for PTAs, instructors can introduce students to information regarding professionalism, professional roles, interpersonal communication, physical therapist s behavior and conduct, teaching and learning, and evidence based practice. This comprehensive text will provide a valuable resource throughout the physical therapist assistant s education and training throughout the entire duration of the PTA program. New to Second Edition: Distinctive description of physical therapy developments from its Formative Years (1914-1920) to the APTA s Vision and Application of Scientific Pursuit of today PTA s usage of the APTA's Guide to Physical Therapist Practice Differences between physical therapy and medical diagnosis Contemporary clinical trends regarding wellness, health promotion and disease prevention Instructor Resources: Transition Guide, PowerPoint slides and TestBank"

Build your documentation skills—and your confidence. Step by step, this text/workbook introduces you to the importance of documentation; shows you how to develop and write a proper and defensible note; and prepares you to meet the technological challenges you’ll encounter in practice. You’ll learn how to provide the proper documentation to assure all forms of reimbursement (including third party) for your services. You’ll also explore issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society.

Comprehensive textbook for the documentation material required in all Physical Therapy programs. Physical Therapy is one of the fastest growing professions in the US; if they want to get paid by third parties, they need to have a solid understanding of documentation. This book covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. Market / Audience Primary market are the 30,000 PT students based in the US, attending 210 programs. Secondary market: 155,000 clinicians currently practicing. The primary market for this book, students, has grown by 33% since 2003, when the first edition was published. About the Book From exercise prescriptions to patient evaluations, insurance forms, billing, and much more—Effective Documentation for Physical Therapy Professionals is your best choice for learning when, what, and how to document. Included are every essential aspect of documentation and many sample documents. The easy-to-follow format gives you the professional guidelines, codes, and methodology you need to provide expert documentation. Key Selling Features Includes all aspects of documentation including reimbursement and billing, coding, legal issues, PT-PT and PT-PTA communication, and utilization review/quality assurance. Sample documentation content, forms, exercises and questions are provided as appropriate. Uses current APTA terminology and all pertinent professional association regulations. Includes SOAP guidelines and examples as well as standardized forms and assessment tools The most up-to-date, comprehensive documentation book for Physical Therapy students and practitioners on the market. Contains plenty of examples and exercises to provide practical knowledge to users of the text. Author Profiles Eric Shamus, DPT, PhD, CSCS has taught national and international continuing education courses on Orthopeadics, Sports Medicine, and Manual Therapy, with a focus on documentation and reimbursement. He is presently a professor at Florida Gulf Coast University and works at an outpatient orthopedic facility in Fort Lauderdale. Debra F. Stern, PT, MSM, DBA is an Associate Professor at Nova Southeastern University in Fort Lauderdale, FL. She serves as a clinical instructor with a focus on geriatrics, neuromuscular disorders, and also coordinates service learning experiences for the school's PT department. She received her BS in Physical Therapy from SUNY Buffalo, her MSM from Rollins College, and her DBAS at Nova Southeastern.

No matter where you work, as a PT you must know how to document your services! Proper documentation is essential because the majority of payment for PT services comes from third-party payors -- and proper documentation promotes quality care. Count on this vital resource for all the information you need to document your work effectively! * Case studies clearly demonstrate both appropriate and poor documentation * Practical tips help you expedite the claims process and guarantee a successful outcome

Familiarize yourself with the acute care environment with this essential guide to physical therapy practice in an acute care setting. Acute Care Handbook for Physical Therapists, 4th Edition helps you understand and interpret hospital protocol, safety, medical-surgical ‘lingo’, and the many aspects of patient are from the emergency department to the intensive care unit to the general ward. This restructured new edition streamlines the text into four parts— Introduction, Systems, Diagnoses, and Interventions to make the book even easier to use as a quick reference. Intervention algorithms, updated illustrations, and language consistent with the ICF model all help you digest new information and become familiar with new terminology. This comprehensive resource is just what you need to better manage the specific needs of your patients in the complex acute care environment. Intervention algorithms, tables, boxes, and clinical tips highlight key information about the acute care environment in a format that makes finding and digesting information easy. The major body system chapters provide the evidence-based information you need to understand the complex issues of patients in the acute care environment so you can optimally manage the needs of your patients. Current information on medications, laboratory tests, diagnostics, and intervention methods relevant to patients in the acute care environment illustrates how the acute care environment can impact these elements. Clinical tips highlight key points and provide access to the tips and tricks accumulated over a career by an experienced clinician. Language consistent with the Guide to Physical Therapist Practice, 2nd Edition offers common linguistic ground through the use of Guide standards. Lay-flat pages and uncluttered design make the book easier to use as a quick reference. NEW! Restructured table of contents helps you quickly locate information. NEW! Language from the International Classification of Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association increases your familiarity with terminology. NEW! New intervention algorithms along with existing algorithms break clinical decision-making into individual steps and sharpens your on-the-spot critical-thinking skills. NEW! A quick-reference appendix covering abbreviations commonly found in the acute care environment supplies the translation tools you need, while flagging any abbreviations that may be harmful to the patient.

Geriatric Physical Therapy offers a comprehensive presentation of geriatric physical therapy science and practice. Thoroughly revised and updated, editors Andrew Guccione, Rita Wong, and Dale Avers and their contributors provide current information on aging-related changes in function, the impact of these changes on patient examination and evaluation, and intervention approaches that maximize optimal aging. Chapters emphasize evidence-based content that clinicians can use throughout the patient management process. Six new chapters include: Exercise Prescription, Older Adults and Their Families, Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life. Clinically accurate and relevant while at the same time exploring theory and rationale for evidence-based practice, it’s perfect for students and practicing clinicians. It’s also an excellent study aid for the Geriatric Physical Therapy Specialization exam. Comprehensive coverage provides all the foundational knowledge needed for effective management of geriatric disorders. Content is written and reviewed by leading experts in the field to ensure information is authoritative, comprehensive, current, and clinically accurate. A highly readable writing style and consistent organization make it easy to understand difficult concepts. Tables and boxes organize and summarize important information and highlight key points for quick reference. A well-referenced and scientific approach provides the depth to understand processes and procedures. Theory mixed with real case examples show how concepts apply to practice and help you enhance clinical decision-making skills. Standard APTA terminology familiarizes you with terms used in practice. A new chapter, Exercise Prescription, highlights evidence-based exercise prescription and the role of physical activity and exercise on the aging process. A new chapter, Older Adults and Their Families, helps physical therapists understand the role spouses/partners and adult children can play in rehabilitation, from providing emotional support to assisting with exercise programs and other daily living activities. New chapters on Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life expand coverage of established and emerging topics in physical therapy. Incorporates two conceptual models: the Guide to Physical Therapist Practice, 2nd Edition, and the International Classification of Function, Disability, and Health (ICF) of the World Health Organization (WHO) with an emphasis on enabling function and enhancing participation rather than concentrating on dysfunction and disability A companion Evolve website includes all references linked to MEDLINE as well as helpful links to other relevant websites.